Organization Active NPI

Dean M Godfrey, D.O., LLC

  • Physical Medicine & Rehabilitation Physician
  • Hammonton, NJ
National Provider Identifier
1386895209
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DEAN M GODFREY, D.O., LLC
Practice address
425 12TH St
Hammonton, NJ 08037-1382
Phone
(609) 567-9168
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dean Godfrey, DO
Title
Owner
Phone
(609) 510-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

425 12TH St
Hammonton, NJ 08037-1382

Mailing address

1603 W McGalliard Ave
Hamilton, NJ 08610-3209
Phone (609) 510-4761

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1386895209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 W MCGALLIARD AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086103209",
            "telephone_number": "609-510-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 12TH ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371382",
            "telephone_number": "609-567-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN M GODFREY, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-510-4761",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.